Pearls 3 Flashcards by Aloha Lopez

Most posterior an lateral extent of thyroid gland

Tubercle of zuckerkandl

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Mc site of extra adrenal pheochromocytoma

Tubercle of zuckerlandl

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Confirmatory lab test for graves

TSH r/ TSAb/ TSIg

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Preferred surgical tx for graves

Hartley dunhill (total lobectomy on one side and subtotal lobectomy on other side)

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Mc inflammatory disorder of thyroid

Hashimoto

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Askanazy cells

Hashimoto

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Mgmt for reidels

Isthmusectomy

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Mgt for persistent sinus fistula

IV antibiotics, drainage and fistulectomy

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Mgmt for the subtype of follicular Ca associated with higher mortalty

Hurthle cell- total thyro+ routine central neck node removal

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Localization study and management of a patient with a parathyroid adenoma

Tx labeled sestamibi, unilateral)focused) exploration vs bilateral exploration

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Mc location of ectopic parathyroid gland

Paraesophageal

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Localizing study and tx for patients with pheochromocytoma

MIBG, phenoxybenzamine 1-3 weeks before adrenalextony

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Most common associated anomaly in paients with CoA

Bicuspid aortic valve

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Mgmt for coa

Resection and EEA; balloon dilataion/stent

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Only true surgical emergency among all congenital heart disease

TAPVC

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(+) equalizaion of O2 sat in all chambers

TAPVC - connect PV to LA; ASD closure

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Hypoplastic RV, pulmonary flow is dependent on PDA , mgmt?

Blalock tausig shunt(subclavian to pulmonary artery) glenn shunt (svc to pulmonary artery)

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Most prefered site for av fistula

Wrist

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Milroy disease characteristix

Bilateral lower extemity swellig

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Pancoast syndrome

AdenoCA

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Fx of distal radius with the fragment displaced dorsally

Colles

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Smiths fx: is

Volar displacement

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Fx of radial styloid

Hitchinson/ chaiffeur

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Fx of ulna with dislocation of radial head

Monteggia

Fx of distal radius with dislocation of DRUJ

Galeazzi

Mc dislocated jt

Glenohumeral

Tear in glenous labrum

Bankart

Compression fx of humeral head

Hill sach's lesion

Most useful means of visualizing rotator cuff

MRI

McMurray and Lachmann positive

ACL and meniscal tear

Characterized by causal displacement of brainstem

Arnold chiari type 2

Caudal cerebellar tonsil displacement

Arnold chiari typr 1

Mgmt for the most common CNS neoplasm

Total resection + radiotherapy

Mc pediatric brain tumor

Medulloblastoma

Lad's procedure used for

Prevention of midgut volvulus in malrotation

Microcolon, egghell pattern

Meconium ileus

Indication of surgery in patient with NEC

Pneumoperitomeum

Mc type of TEF

Type C

Dances sign is noted, what is the tx?

Intussusception : air then hydrostatic reduction, failure of reduction mandates surgery

Anomaly most associated with gastroschisis

Intestinal atresia

Pentalogy of cantrell

Heart anomalies, omphalocele, morgagnjan hernia, ectopia cordia, sternal cleft

Small round blue cells(biopsy)

Neuroblastoma

Tx for cystic hygroma

Surgical excision +sclerotherapy

Study of choice for evaluating collecting system

IVP

1st line tx for BPH

Alpha blockr

Hypervolemia and dilutional hyponatremia, hypertension, bradycardia,N/V, mental status changes, seizures : MGMT?

TUR syndrome; diuretics

Mc renal cell Ca

Clear cell

Associated with squamous cell CA of the bladder

Schistosoma haematobium

Dx of bladder Ca

Cystoscopy+ biopsy/cylogoy

Annual prostate Ca screening recomended at what age?

50 with at least 10 yrs life expectancy

Mgmt for prostate Ca

Local- radical retropubic prostatectomy | Mets- androgen abladive hormone tx(bilateral orchiectomies or GnRH agonist)

(+) bell clappers deformtiy, mgmt?

Testicular torsion Viable testis- orchiopexy on both sides Non viable- orchiectomy on affected, orchiopexy on normal side

Mgmt for an obstructed and infected urinary system

Emergency surgical drainage(percutaenous nephrostomy or cystoscopic placement of stent)

Graft where a portion of the dermis is takrn along with the epidermis

Split thickness graft

Graft events

(imbibition- 24 hrs, inosculation- 24-72 hrs, angiogenesis- after 72 hrs)

Mgmt for intractable keloids

Radiation with excision

Cleft palate routinely closed at what age? Ruke of 10?

12 mos; 10 wks, 10 lbs, 10 mg/dl Hgb

Mutliple hemorhages, cotton wool spots, fat tortous blood vessels, few microaneurysm

Central retinal vein occlusion

Injury to external branch of superior laryngeal nerve causes

Inability to hit high notes